Individual provider Active NPI

Kendall Levell Wilson, DC

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1730192162
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1681 Issued in AR
Practice address
2 Innwood Cir Ste C
Little Rock, AR 72211-2490
Phone
(501) 280-0250
Fax
(501) 280-0260
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1681 AR Primary

Addresses

Primary practice location

2 Innwood Cir Ste C
Little Rock, AR 72211-2490

Mailing address

PO Box 3554
Little Rock, AR 72203-3554
Phone (501) 658-9000

Other identifiers 1

IdentifierTypeStateIssuer
1681OtherARSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070103000554 AR Practitioner - Chiropractic 3476553124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 S University Ave
Little Rock, AR 72205-5346
Phone (501) 280-0250

Hospital & facility affiliations

  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Touch Medical Centers PLLC Chiropractor CurrentSince Jan 21, 2010 Accepting new patients
Arkansas Cardiovascular Associates, P.C. Current Accepting new patients
Modern Medical Solutions of Arkansas LLC CurrentSince Dec 2, 2020 Accepting new patients
Health Management of Arkansas Chiropractor Past Accepting new patients

Locations

500 S University Ave
Ste A23
Little Rock, AR 72205
Phone (501) 280-0250

1200 John Barrow Rd
Ste 112
Little Rock, AR 72205
Phone (501) 227-9766

7481 Warden Rd
Sherwood, AR 72120
Phone (501) 588-4164

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1730192162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3554",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722033554",
            "telephone_number": "501-658-9000",
            "fax_number": "501-280-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNWOOD CIR STE C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112490",
            "telephone_number": "501-280-0250",
            "fax_number": "501-280-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KENDALL",
        "middle_name": "LEVELL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1681",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.